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Social Determinants of Health (SDoH) Toolkit

Social Determinants of Health (SDoH) Toolkit

Prepare, Test, and Spread: Experiences Implementing PRAPARE in Iowa

This toolkit from Iowa’s Primary Care Association as part of the State Innovation Model is organized around the three stages of SDOH: Prepare, Test and Spread. The key concepts are organized under each of the stages. This toolkit provides existing and new tools for each of the 21 concepts with guidance related to when an organization may want to use each tool or concept. Links to previously developed tools are included in the concept areas but are also included in the toolkit as websites and electronic resources because URLs tend to move or “break” over time. The 21 concepts covered in the toolkit are as follows:


  • Understand the community
  • Align with strategic plan
  • Assess your organization
  • Pick a tool
  • Practice asking questions
  • Find your clinical champion
  • Create your resource matrix
  • Brainstorm workflows
  • Script for all audiences
  • Ensure support for staff


  • Test your reporting
  • Trial workflows
  • Track progress
  • Get feedback from patients
  • Monitor referral completion


  • Continuous quality improvement (CQI)
  • Share your story
  • Develop new partnerships
  • Advocate for population level resources and policy changes
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